Journal
FOOT AND ANKLE CLINICS
Volume 22, Issue 2, Pages 405-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.fcl.2017.01.009
Keywords
Total ankle arthroplasty; Infected total ankle arthroplasty; Periprosthetic ankle infection; Diagnosis of total ankle arthroplasty infection; Treatment of total ankle arthroplasty infection
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Periprosthetic infection after total ankle arthroplasty (TAA) is a serious complication, often requiring revision surgery, including revision arthroplasty, conversion to ankle arthrodesis, or even amputation. Risk factors for periprosthetic ankle infection include prior surgery at the site of infection, low functional preoperative score, diabetes, and wound healing problems. The clinical presentation of patients with periprosthetic ankle joint infection can be variable and dependent on infection manifestation: acute versus chronic. The initial evaluation in patients with suspected periprosthetic joint infections should include blood tests: C-reactive protein and erythrocyte sedimentation rate. Joint aspiration and synovial fluid analysis can help confirm suspected periprosthetic ankle infection.
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